INFINITE HEALTH INTEGRATIVE MEDICINE CENTER INC (NPI# 1205125374) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205125374 |
| Entity Type | Organization |
| Organization Name | INFINITE HEALTH INTEGRATIVE MEDICINE CENTER INC |
| Practice Address |
2002 W Walnut St Ste 2 Lake Charles LA 70601-5690 |
| Practice Telephone | (337) 312-8234 |
| Practice Fax Number | 3373128411 |
| Mailing Telephone | 3373128234 |
| Mailing Fax Number | 3373128411 |
| Enumeration Date | 2011-03-29 |
| Last Update Date | 2018-03-17 |
| Authorized Official Name | MR. HENRY JACKSON GOOLSBY III (PRESIDENT) |
| Authorized Official Telephone | 3373128234 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities | ||
| N | 261QX0200X |
Clinic/Center Specialization: Oncology |
Ambulatory Health Care Facilities | ||
| N | 332900000X | Non-Pharmacy Dispensing Site | Suppliers | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3900 Veterans Blvd, 202, New Orleans, LA 70002 | 3373128234 | 3373128411 |
| 780 Bayou Pines East Dr, Lake Charles, LA 706017493 | 3373128234 | 3373128411 |
| Street Address |
2002 W WALNUT ST STE 2 |
| City | LAKE CHARLES |
| State | LA |
| Zip Code | 70601-5690 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538109988 | Henry J Goolsby IIi | Internal Medicine | 2002 W Walnut St Ste 2, Lake Charles, LA 70601-5690 | 2006-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144833872 | Fresenius Medical Care Sulphur, LLC | Clinic/Center | 330 Chavanne Street, Lake Charles, LA 70601 | 2020-08-24 |
| 1174158844 | Andrea Cormier | Peer Specialist | 751 E Bayou Pines Drive, Suite C, Lake Charles, LA 70601 | 2020-03-03 |
| 1588297303 | Vivian Claire Miller Monceaux | Chiropractor | 780 Bayou Pines East Drive, Lake Charles, LA 70601 | 2020-02-20 |
| 1568001014 | Swla Center for Health Services | Clinic/Center | 3820 Senator J. Bennett Johnston Ave, Charleston Bldg 8, Lake Charles, LA 70601 | 2020-01-02 |
| 1417512070 | Ryan Nathaniel Vaisler | Student in an Organized Health Care Education/Training Program | 1525 Oak Park Blvd., Lake Charles, LA 70601 | 2019-05-08 |
| 1336600675 | Hoh Palliative Care, LLC | Family Medicine | 750 East Bayou Pines, Suite A, Lake Charles, LA 70601 | 2019-03-28 |
| 1073079026 | Alawrass LLC | Pharmacy | 803 E Prien Lake Rd, Lake Charles, LA 70601 | 2019-02-14 |
| 1861962722 | Ellaweena Woods | Counselor | 1409 Kirkman St., Lake Charles, LA 70601 | 2018-12-04 |
| 1770051963 | Hanna Marie Rodriguez | Counselor | 751 Bayou Pines Drive, Suite C, Lake Charles, LA 70601 | 2018-11-06 |
| 1023585213 | Shandora Druilhet | Case Manager/Care Coordinator | 751 E Bayou Pines, Lake Charles, LA 70601 | 2018-10-26 |
| Find all providers in zip 70601 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992942999 | Y. Yoko Broussard Md, Apmc | Clinic/Center | 711 Dr. Michael Debakey Drive, Ste400, Lake Charles, LA 70601 | 2009-01-13 |
| 1538244884 | Humphries Family Healthcare, LLC | Clinic/Center | 3101 Lake St, Suite 128, Lake Charles, LA 70601-8337 | 2006-10-26 |
| 1417365495 | Imperial Health-cardiovascular Specialists of Swla | Clinic/Center | 600 Dr Michael Debakey Dr, Lake Charles, LA 70601-5727 | 2014-07-23 |
| 1164669206 | Michael A. Traub, M.d., Apmc | Clinic/Center | 711 Dr Michael Debakey Dr, Suite 200, Lake Charles, LA 70601-5785 | 2009-01-12 |
| 1841328549 | W.o. Moss Regional Medical Center | Clinic/Center | 1000 Walters St, Lake Charles, LA 70607-4647 | 2007-03-02 |
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| 1104445758 | Jennings American Legion Hospital Inc | Clinic/Center | 1322 Elton Rd Ste F, Jennings, LA 70546-4100 | 2020-04-14 |
| 1346874732 | Southeast Family Medical Practice | Clinic/Center | 1320 N Morrison Blvd Ste 125, Hammond, LA 70401-2242 | 2020-02-25 |
| 1356973077 | Phca Houma LLC | Clinic/Center | 435 Corporate Dr Ste 402, Houma, LA 70360-2498 | 2020-02-11 |
| 1124659164 | Diana L. Corley, Fnp, LLC | Clinic/Center | 1015 Hwy 107, Centerpoint, LA 71323 | 2020-01-29 |
| 1790322717 | Take Care Clinic LLC | Clinic/Center | 6721 Saint Claude Ave Ste B, Arabi, LA 70032-1247 | 2019-12-09 |
| 1518503754 | Optimus Primary Care, LLC | Clinic/Center | 13828 Coursey Boulevard, Address Line 2, Baton Rouge, LA 70817 | 2019-11-22 |
| 1992367791 | Family First Medical & Wellness Clinic, LLC | Clinic/Center | 300 Clay St, Kenner, LA 70062 | 2019-07-01 |
| 1366926040 | In and Out Urgent Care Covington, LLC | Clinic/Center | 13130 Hwy 1085, Suite 100, Covington, LA 70433-7829 | 2018-09-19 |
| 1588143556 | Pediatric Center of Many LLC | Clinic/Center | 315 S Highland Dr Ste A, Many, LA 71449-3719 | 2018-08-10 |
| Find all providers with the same taxonomy | ||||
| City | LAKE CHARLES |
| Zip Code | 70601 |
Please comment or provide details below to improve the information on INFINITE HEALTH INTEGRATIVE MEDICINE CENTER INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.